Individual provider Active NPI

Edgar Frederick Weyback-Liogier, DO

  • Student in an Organized Health Care Education/Training Program
  • East Norriton, PA
National Provider Identifier
1134817505
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2705 Dekalb Pike Ste 202
East Norriton, PA 19401-1852
Phone
(610) 275-7420
NPI assigned
Apr 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2705 Dekalb Pike Ste 202
East Norriton, PA 19401-1852

Mailing address

2705 Dekalb Pike Ste 202
East Norriton, PA 19401-1852
Phone (610) 275-7420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811001969 PA Order and Referring Only - Family PracticePractitioner - Family Practice 0244692937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1134817505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 DEKALB PIKE STE 202",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011852",
            "telephone_number": "610-275-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 DEKALB PIKE STE 202",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011852",
            "telephone_number": "610-275-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYBACK-LIOGIER",
        "first_name": "EDGAR",
        "middle_name": "FREDERICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.